Individual
NICOLE ACOSTA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(800) 232-5703
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(800) 232-5703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN159232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180369223A
—
GA
05
—
180369223B
—
GA
Enumeration date
05/16/2006
Last updated
03/19/2009
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